CCMA Exam Review Flashcards

Professionalism is essential, impacting behaviors, appearance, communication, work ethic, and relationships.

MA's are the first point of contact; professionalism is crucial for a positive first impression.

Professional presence: work ethic, positive demeanor, willingness to assist, cooperation, and time management.

Maintain personal boundaries; adhere to dress/appearance policies; follow communication standards.

Medical field: terminology, legal concerns, and high expectations.

Holistic understanding of healthcare is crucial for team effectiveness.

MAs work with providers in outpatient settings, doing administrative and clinical duties.

Administrative duties: Greeting, scheduling, patient registration, updating records, sending claims, collecting payments.

Clinical duties: collecting specimens, diagnostic testing (EKG, spirometry), preparing rooms/patients, measuring vitals, administering meds/immunizations.

MAs navigate patients, coordinate care, address social determinants of health.

Scope of practice: defined by training/experience, varies by state; doesn't include medicine.

MAs shouldn't do duties they aren't trained for; organizations must comply with state rules.

Duties include: height/weight, vitals, lab tests.

MA role evolved from admin support; training arose due to time constraints.

Offices often require training/certification for reimbursements.

Additional certifications: CMAA, CPT, CET, CBCS, CEHRS.

Physicians (MD or DO): 8 years school, 2-7 years residency; must pass USMLE.

MDs (allopathic) diagnose, treat, prescribe.

DOs use osteopathic therapy.

Midlevel Providers: PAs and NPs.

PA: supervised by MD/DO; clinical decisions; 4 years college + 2 years PA school.

NP: basic care, diagnose, prescribe; advanced RN training; may need supervision.

Nurses: LPN/LVN (1 year school, state license): assistive role, limited practice.

RN (associate's/bachelor's, state license): broader scope in clinical, public health, admin.

Allied Health: Medical lab techs, medical receptionists, occupational/physical therapists, pharmacy/radiology technicians.

Licensure: State-regulated, mandatory for physicians; ensures knowledge/skills.

Requirements vary; MAs not licensed in most states.

Certification: Government may require it; advantages: job placement, wages, advancement.

Must stay current.

Inpatient care: in a hospital.

Ambulatory care: outpatient facility.

Primary Care: routine visits, chronic conditions, meds, minor needs.

Specialty Care: complex conditions, specialized doctors.

Home Health: therapy/nursing at home.

Mobile Health Units: care to underserved communities.

Hospice: End-of-life comfort care.

PCMH: PCP coordinates team-based treatment.

Core functions: comprehensive, patient-centered, coordinated, accessible, quality, safety.

Telehealth: virtual care; expanded access, convenience.

Responsibilities: scheduling, confirming info, visit participation.

Patient Portals: view info, message teams, schedule online.

MAs upload info, assist patients with portal use.

Fee for Service: procedural code based billing; sent directely to the patient, or to the insurance company; the company then charges the patient based on responsibility and fees.

Value-Based Plans: Aim for outcomes, satisfaction, lower cost, well-being; prioritizes prevention.

Managed care: preset payments, coordinated care.

Capitation: per-member payment based on demographics, history. Incentivizes avoiding high costs; blended models exist.

HMO: contracts with centers/providers; requires referrals/authorization.

PPO: more flexibility; no PCP needed; in/out network options.

POS: most flexibility; self-referrals allowed; costs vary